Organization Active NPI

Infirmary Home Health Agency, Inc.

Doing business as Infirmary HomeCare

  • Home Health Agency
  • Mobile, AL
National Provider Identifier
1710929294
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
N/A Issued in AL
Legal business name
INFIRMARY HOME HEALTH AGENCY, INC.
Doing business as
Infirmary HomeCare
Practice address
851 E I65 Service Rd S Ste 1000
Mobile, AL 36606-3100
Phone
(251) 450-3300
Fax
(251) 450-3307
NPI assigned
Jun 11, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joshua L. Proffitt
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N/A AL Primary

Addresses

Primary practice location

851 E I65 Service Rd S Ste 1000
Mobile, AL 36606-3100

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other identifiers 2

IdentifierTypeStateIssuer
510-41140OtherALBLUE CROSS BLUE SHIELD OF
INF7035AMedicaidAL

Other names 1

  • Infirmary HomeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000580 AL Part A Provider - Home Health Agency 7012800501 Practice locations: Mobile, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710929294. Details of each certification follow.

Home health agency certification: CCN 017035

Legal name
INFIRMARY HOME HEALTH AGENCY, INC.
Doing business as
INFIRMARY HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 20, 1981
Last certification
Jun 25, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 2, 1994 in AL
Enrollment address
851 E I65 Service Rd S
Ste 1000
Mobile, AL 36606-3100

Care Compare: Home health agency

Medicare Care Compare
Listed as
Infirmary HomecareCCN 017035 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 20, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1142A Montlimar Dr
Mobile, AL 36609
Phone (251) 450-3300

2559 Emogene St
Mobile, AL 36606
Phone (251) 450-3280

6001 Airport Blvd
Ste B
Mobile, AL 36608
Phone (251) 450-3300

618 Azalea Rd
Mobile, AL 36609
Phone (251) 450-3300

851 E I65 Service Rd S
Ste 1000
Mobile, AL 36606
Phone (251) 450-3300

1131 Highway 43 S
Ste 1131A
Saraland, AL 36571
Phone (251) 679-9376

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 67%
Ashley Anderson Individual W-2 Managing EmployeeAd; Feb 28, 2022
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerTreasurer Feb 22, 2023
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2006 67%
Operational/Managerial Control Feb 1, 2006
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Alabama Health Care Group, LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Feb 1, 2006 67%
Gulf Health Services Inc Organization, Mobile, AL Corporation 5% Or Greater Direct Ownership Interest Feb 1, 2006 33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 39

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1710929294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E I65 SERVICE RD S STE 1000",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063100",
            "telephone_number": "251-450-3300",
            "fax_number": "251-450-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFIRMARY HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "510-41140",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "INF7035A",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infirmary HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Infirmary HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.